Over the scope clip (OTSC) as rescue treatment for gastrointestinal bleeding secondary to peptic ulcer disease

医学 上消化道出血 胃肠道出血 不利影响 回顾性队列研究 消化性 外科 剪辑 消化性溃疡 置信区间 内科学 内窥镜检查
作者
David Villaescusa,Enrique Rodríguez de Santiago,Miguel Ángel Rodríguez-Gandía,Sofía Parejo Carbonell,Beatriz Peñas García,Antonio Guerrero García,José Ramón Foruny Olcina,Ana García García de Paredes,Juan Ángel Gónzalez Martín,Enrique Vázquez-Sequeiros,Agustı́n Albillos
出处
期刊:Revista Espanola De Enfermedades Digestivas [Arán Ediciones]
被引量:2
标识
DOI:10.17235/reed.2022.8722/2022
摘要

over-the-scope-clips (OTSC®) have been proposed as a rescue treatment for bleeding peptic ulcers. However, their effectiveness has not been evaluated in Spain.this retrospective and single-center study (January 2018-December 2021) assessed the technical success, clinical success and safety of the device within 30 days. All patients with upper gastrointestinal bleeding due to a peptic ulcer and treated with the OTSC® clip (OVESCO) as a rescue therapy were included in the study.a total of eleven patients were included in the study, nine due to rebleeding and two due to persistent bleeding. Technical success was 81.9 % (9/11, confidence interval [CI] 95 %: 52-95 %). The per-protocol and intention-to-treat clinical success were 88.9 % (8/9, CI 95 %: 57-98 %) and 72.7 % (8/11, CI 95 %: 43-90 %), respectively. No device-related adverse effects were recorded.the OTSC® clip was an effective and safe rescue therapy for bleeding peptic ulcers.

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